Revenue Cycle Authorization Specialist

Gentiva • Mooresville, NC

7d

About The Position

The Revenue Cycle Authorization Specialist verifies insurance eligibility, submits authorizations, and ensures timely and accurate processing of patient coverage across Medicare, Medicaid, and commercial payers. The role supports access to care and operations for Home Health and Hospice services. It is designated as safety-sensitive.

Requirements

• Bachelor’s degree preferred.
• At least 3 years of experience in Home Care or Hospice strongly preferred.
• Strong knowledge of Medicare, Medicaid, and commercial payer authorization processes.
• Proficiency in Excel and working knowledge of PowerPoint and other Microsoft Office tools.
• Experience entering and managing data within electronic systems.
• Strong attention to detail and ability to manage multiple tasks in a deadline-driven environment.
• Excellent communication and collaboration skills.

Nice To Haves

• Familiarity with HomeCare HomeBase software.

Responsibilities

• Verify patient eligibility and benefits for Home Health and Hospice services.
• Work assigned work queues to complete benefit-related tasks in a timely manner.
• Contact insurance companies to confirm hospice coverage, authorizations, and recertifications.
• Submit initial and follow-up authorization requests with all required documentation.
• Review medical records for documents supporting approval requests.
• Communicate with field staff, branches, and facilities to obtain missing information.
• Accurately document verification and authorization steps in patients’ medical records.
• Collaborate with other departments and attend team meetings to share updates and resolve issues.
• Adhere to HIPAA regulations and maintain confidentiality of patient and organizational information.

Benefits

• Competitive pay.
• 401(k) with company match.
• Career advancement opportunities.
• National and local recognition programs.
• Teammate Assistance Fund.
• Medical, dental, and vision insurance for full-time associates.
• Mileage reimbursement or fleet vehicle program for full-time associates.
• Generous paid time off and 7 paid holidays for full-time associates.
• Wellness programs, including telemedicine, diabetes management, and Joint & Spine Concierge Care, for full-time associates.
• Education support and tuition assistance (ASN to BSN, BSN to MSN) for full-time associates.
• Free continuing education units (CEUs) for full-time associates.
• Company-paid life and long-term disability insurance for full-time associates.
• Voluntary benefits, including pet, critical illness, accident, and long-term care coverage, for full-time associates.

What This Job Offers

• Job Type: Full-time